STUDY OF THE AVAILABILITY AND CLEANLINESS OF CHANGING GOWNS AT RADIOLOGY DEPARTMENT OF UNIVERSITY OF MAIDUGIRI TEACHING HOSPITAL

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STUDY OF THE AVAILABILITY AND CLEANLINESS OF CHANGING GOWNS AT RADIOLOGY DEPARTMENT OF UNIVERSITY OF MAIDUGIRI TEACHING HOSPITAL

CHAPTER ONE

INTRODUCTION

1.1 Background to the Study

In recent times healthcare delivery relies heavily on infection prevention and control practices, particularly in diagnostic departments such as radiology where patients frequently come into contact with shared medical materials. One of the key components of patient preparation in radiological examinations is the use of changing gowns, which are provided to patients to ensure modesty, comfort, and hygiene during imaging procedures. The availability and cleanliness of these gowns are critical to preventing hospital-acquired infections (HAIs) and maintaining patient safety standards.

Infection prevention in healthcare settings has been widely emphasized by global health authorities such as the World Health Organization (WHO). According to WHO (2016), inadequate hygiene practices and contaminated hospital materials contribute significantly to the spread of infections within healthcare facilities. Similarly, Centers for Disease Control and Prevention (CDC, 2019) highlights that reusable hospital garments must be properly cleaned and disinfected to reduce microbial contamination and cross-infection risks.

Radiology departments are particularly sensitive environments because they serve a large number of patients daily, including outpatients and inpatients requiring imaging services such as X-rays, CT scans, MRI, and ultrasound. In many developing countries, including Nigeria, shortages of medical supplies and poor laundry systems often affect the availability and cleanliness of hospital gowns, leading to patient discomfort and potential infection risks (Akanbi et al., 2017).

At the University of Maiduguri Teaching Hospital, radiology services play a vital role in diagnostic support for various clinical conditions. However, concerns have been raised regarding the adequacy of patient changing gowns and their hygienic condition. Clean and readily available gowns are essential not only for infection control but also for maintaining patient dignity and improving overall service quality.

Studies have shown that poor hospital linen management systems, including inadequate washing procedures and insufficient supply chains, contribute to the reuse of contaminated garments (Ibrahim & Mohammed, 2020). This situation increases the risk of hospital-acquired infections and reduces patient confidence in healthcare services.

Therefore, assessing the availability and cleanliness of changing gowns in radiology departments is essential for improving infection control practices, patient satisfaction, and healthcare quality assurance.

1.2 Statement of the Problem

Despite increasing awareness of infection control practices in healthcare facilities, many hospitals in developing countries still face challenges related to inadequate supply and poor hygiene of patient materials. In radiology departments, changing gowns are expected to be readily available, clean, and safe for repeated patient use. However, observations in some healthcare settings suggest that gowns may be insufficient in number, improperly laundered, or reused without adequate sterilization.

At the University of Maiduguri Teaching Hospital, concerns have been raised by patients and healthcare workers regarding the adequacy and cleanliness of changing gowns provided in the radiology department. Such challenges may expose patients to infection risks, reduce patient satisfaction, and compromise hospital hygiene standards.

If these issues are not addressed, they may lead to increased hospital-acquired infections, reduced trust in healthcare services, and lower quality of diagnostic care. Therefore, there is a need to systematically assess the availability and cleanliness of changing gowns in the radiology department of the hospital.

1.3 Objectives of the Study

The general objective of this study is to assess the availability and cleanliness of changing gowns in the radiology department of the University of Maiduguri Teaching Hospital.

The specific objectives are to:

determine the availability of changing gowns in the radiology department;

assess the cleanliness and hygiene status of the changing gowns provided;

examine the frequency of laundering and replacement of gowns;

identify challenges affecting the availability and cleanliness of gowns; and

suggest measures for improving gown management in the radiology department.

1.4 Research Questions

The study is guided by the following research questions:

How available are changing gowns in the radiology department?

What is the level of cleanliness of the changing gowns provided to patients?

How often are the gowns laundered and replaced?

What challenges affect the availability and cleanliness of gowns?

What strategies can improve gown management in the radiology department?

1.5 Significance of the Study

This study is significant in several ways. First, it will provide healthcare administrators at the University of Maiduguri Teaching Hospital with empirical data on the condition of patient gowns in the radiology department, which can guide policy decisions on infection control and resource allocation.

Second, the study will contribute to improving patient safety by highlighting gaps in hygiene practices that may contribute to hospital-acquired infections, as emphasized by WHO (2016). Third, radiographers, nurses, and hospital support staff will benefit from the findings as it will enhance their awareness of proper linen management and infection prevention practices.

Finally, the study will add to existing academic literature on hospital hygiene and infection control practices in radiology departments, particularly in developing countries.

1.6 Scope of the Study

This study is limited to the assessment of the availability and cleanliness of changing gowns in the radiology department of the University of Maiduguri Teaching Hospital. It focuses on patients, radiographers, and support staff within the department. The study does not extend to other hospital departments or other healthcare facilities.

1.7 Operational Definition of Terms

Availability of Gowns: The extent to which changing gowns are sufficiently provided for patient use in the radiology department.

Cleanliness: The hygienic condition of gowns in terms of being free from dirt, stains, and microbial contamination.

Changing Gowns: Medical clothing provided to patients before radiological examinations to ensure privacy and hygiene.

Radiology Department: A specialized unit in a hospital where diagnostic imaging procedures such as X-rays and CT scans are carried out.

Hospital-Acquired Infection (HAI): Infections patients acquire during treatment in a healthcare facility that were not present at admission (CDC, 2019).

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